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Continuous lateral rotation therapy - a review.

Stephen Wanless1, Matthew Aldridge

  • 1Department of Skills and Simulation, Faculty of Health, Birmingham City University, Edgbaston, Birmingham B15 3TN, UK. stephen.wanless@bcu.ac.uk

Nursing in Critical Care
|January 11, 2012
PubMed
Summary

Continuous lateral rotation therapy (CLRT) may help prevent and treat nosocomial infections in ventilated patients. However, more research is needed to confirm its effectiveness as a validated treatment.

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Area of Science:

  • Critical care medicine
  • Infection prevention and control

Background:

  • Nosocomial infections and pressure sores are significant challenges in critically ill, ventilated patients.
  • Continuous lateral rotation therapy (CLRT) is increasingly used as an adjunct for preventing and treating pneumonia in these patients.
  • Routine use of CLRT is advocated in several institutions for critically ill patients.

Purpose of the Study:

  • To review the current evidence regarding the benefits and drawbacks of CLRT.
  • To evaluate the efficacy of CLRT in the treatment and prevention of nosocomial infections in ventilated patients.

Main Methods:

  • Literature review of existing evidence on CLRT.
  • Analysis of studies on CLRT's impact on nosocomial infections and pressure sores.

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Main Results:

  • Some data suggests CLRT may impact the prevention and treatment of nosocomial infections in ventilated patients.
  • Evidence is currently insufficient to validate CLRT as a standard treatment.

Conclusions:

  • Further robust research is required to establish the efficacy of CLRT.
  • CLRT's role in managing nosocomial infections in ventilated patients requires more definitive evidence.